This report does not constitute a rating action. S&P Global Ratings' long-term rating on various bonds issued by the Centre County Hospital Authority , Pa., for Mount Nittany Medical Center (Mount Nittany) is 'A+'. The outlook is stable. A pledge of gross revenue secures the bonds. The rating reflects our view of Mount Nittany's leading market position as the sole community provider in a smaller primary service area (PSA) with solid economic fundamentals, a favorable payer mix, and economic anchor Penn State University. The rating additionally reflects our assessment of Mount Nittany's trend of very healthy operational performance in recent years, which has supported robust unrestricted reserves and help offset a relatively heavy debt load. The hospital's heavy capital spend
